Doctor Name: | CELIA PEREZ |
NPI Number: | 1033447321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACSW |
License Number: | 19227 |
Business Practice Address: | 455 K St Crescent City, CA - 955314107 |
Business Phone Number: | 7074647224 |
Business Fax Number: | |
Mailing Address: | 455 K St, CRESCENT CITY |
State: | CA |
Postal Code: | 955314107 |
Phone Number: | 7074647224 |
Fax Number: | |
NPI Enumeration Date: | 11/24/2009 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 19227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |